StacksVerified U.S. regulatory reference

45 CFR §156.290

Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov
  1. (a)Non-certification for a subsequent, consecutive certification cycle. If a QHP issuer elects not to seek certification for a subsequent, consecutive certification cycle with the Exchange, the QHP issuer, at a minimum, must—
    1. (1)Notify the Exchange of its decision prior to the beginning of the recertification process and adhere to the procedures adopted by the Exchange in accordance with § 155.1075 of this subchapter;
    2. (2)Fulfill its obligation to cover benefits for each enrollee through the end of the plan or benefit year through the Exchange;
    3. (3)Fulfill data reporting obligations from the last plan or benefit year of the certification;
    4. (4)Provide notice to enrollees as described in paragraph (b) of this section; and
    5. (5)Terminate the coverage or enrollment through the Exchange of enrollees in the QHP in accordance with § 156.270, as applicable.
  2. (b)Notice of QHP non-availability. When, for a subsequent, consecutive certification cycle, a QHP issuer elects not to seek certification with the Exchange, or the Exchange denies certification of a QHP, the QHP issuer must provide written notice to each enrollee in the form and manner specified by the Secretary under § 147.106 of this subchapter.
  3. (c)Decertification. If a QHP is decertified by the Exchange, the QHP issuer must terminate the enrollment of enrollees through the Exchange only after:
    1. (1)The Exchange has made notification as described in § 155.1080 of this subchapter; and
    2. (2)Enrollees have an opportunity to enroll in other coverage.